Case Report
An acute lower limb ischemia revealing a covid-19 infection: A case report

https://doi.org/10.1016/j.amsu.2022.104445Get rights and content
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Highlights

  • Covid-19 is associated with thrombo-embolic events.

  • Patients with covid19 should be monitored more closely for thromboembolic complications.

  • Lower limb ischemia complicating a covid-19 infection.

  • A large thrombus adherent to the posterior wall of the descending thoracic aorta due to Covid-19.

Abstract

Introduction

Covid-19 is associated with thrombo-embolic events. These complications are either veinous or arterial. By this case report, we aim to highlight the physiopathology and the epidemiology of covid-19 related thromboembolic complications.

Case report

We report a case of a 65 years old patient who was admitted fo lower limb ischemia complicating a covid-19 infection. Computed tomography of the aorta and lower limbs showed thrombosis of the femoral artery extended to the popliteal artery and leg arteries. Despite a surgical embolectomy the patient rethromboses twice leading to a thigh amputation.

Discussion

Several hypotheses have been put forward to explain Covid 19-related thromboembolic events. About 3% of patients develop arterial thrombosis. Raffaello Bellosta and al. reported the incidence of acute limb ischemia has significantly increased during the COVID-19 pandemic in the Italian Lombardy region.

Conclusion

The coagulopathy responsible for venous and arterial thrombosis is a well-established complication of COVID-19. Arterial thromboembolic complications can be either stroke, acute coronary syndrome or peripheral acute ischemia. Therefore, patients with covid19 should be monitored more closely for thromboembolic complications.

Keywords

Covid-19
Thrombo-embolic events
Venous
Arterial
Lower limb ischemia

Cited by (0)

1

Rim El Mesnaoui and Soumaila Nikiema are joint first authors.